Pain Management Center Of Southern Indiana, Inc. | |
2920 Mcintyre Dr Suite 150 Bloomington IN 47403-4221 | |
(812) 333-7246 | |
(812) 333-4471 |
Full Name | Pain Management Center Of Southern Indiana, Inc. |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 2920 Mcintyre Dr, Bloomington, Indiana |
Authorized Official Name and Position | Kamal Kumar Tiwari (PRESIDENT) |
Authorized Official Contact | 8123337246 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pain Management Center Of Southern Indiana, Inc. Po Box 5635 Bloomington IN 47407-5635 Ph: (812) 337-5003 | Pain Management Center Of Southern Indiana, Inc. 2920 Mcintyre Dr Suite 150 Bloomington IN 47403-4221 Ph: (812) 333-7246 |
NPI Number | 1629063797 |
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Provider Enumeration Date | 09/15/2005 |
Last Update Date | 06/15/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629063797 | NPI | - | NPPES |
100389270 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 50003765A (Indiana) | Primary |
News Archive
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